showed a trendp = 0.059
Integrated models combining nodal status with PLR ± NLR improved risk discrimination: Model A (N + PLR ≥ 150 ± NLR ≥ 3) showed a trend ( p = 0.059), and Model B (N + PLR ≥ 150) reached significance ( p = 0.021; C-index ≈ 0.68–0.69).